PDO threads for under the eyes in London

The crepey skin below the eye and the hollow of the tear trough are treated with smooth threads, the fine unbarbed kind. They are laid in a mesh under the thin skin to thicken it as they dissolve and collagen forms around them. One maker's page names the under-eye area with the forehead and under the chin among the uses of smooth threads. Published series have treated the area, and no US clearance names it. Placed by our doctor under local anaesthetic in about 30 minutes at PDO Threads Clinic, 8 Exhibition Road, with the plan in writing at a free consultation.

What it does under the eyes

The thin skin thickens and the crepey texture tightens over the months, and in our experience a shallow tear trough looks softer as the skin over it thickens. A bag of fat, a hollow that has lost volume or dark circles that are pigment are not what threads change; filler for the hollow is something our doctor can provide, and the doctor says which at the free consultation. The result fades over about a year as the threads dissolve, which we say plainly.

The procedure and after

Local anaesthetic, the smooth threads placed through a fine needle in a mesh below the eye on the bone, not the lid, in about 30 minutes. Swelling and bruising below the eye for a week or more, which is more visible than elsewhere on the face in our experience, so plan around any event. Sleep on your back with the head raised for about a week, no rubbing the eyes, no massage or facials for two weeks. The how it works page sets out each step.

Who it suits

Adults with crepey skin or a shallow hollow below the eyes and skin with some spring. The usual exclusions apply: pregnancy and breastfeeding, an active infection, a bleeding disorder or blood thinners that cannot be paused, an autoimmune disease without the doctor's advice first, keloid scarring. The brow page covers the brow and upper lid, and the full guide the rest.

Book a free consultation

Call PDO Threads Clinic on 0207 043 8107 or use the form below. The doctor looks at the area below your eyes, counts the threads, and gives you the plan in writing.